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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

We describe in detail a clinically relevant colorectal cancer liver metastases (CRLM) tumor model and the influence of liver ischemia reperfusion (I/R) in tumor growth and metastasis. This model can help to better understand the mechanisms underlying surgery-induced promotion of liver metastatic growth.

Abstract

Liver ischemia and reperfusion (I/R) injury, a common clinical challenge, remains an inevitable pathophysiological process that has been shown to induce multiple tissue and organ damage. Despite recent advances and therapeutic approaches, the overall morbidity has remained unsatisfactory especially in patients with underlying parenchymal abnormalities. In the context of aggressive cancer growth and metastasis, surgical I/R is suspected to be the promoter regulating tumor recurrence. This article aims to describe a clinically relevant murine model of liver I/R and colorectal liver metastasis. In doing so, we aim to assist other investigators in establishing and perfecting this model for their routine research practice to better understand the effects of liver I/R on promoting liver metastases.

Introduction

The liver is one of the most common sites for the development of metastatic disease1. Mortality is almost invariably attributable to complications associated with tumor growth in the liver. In patients with metastatic solid tumors in the liver, surgery remains a crucial intervention for disease control and a possible curative approach. However, the vast majority of patients ultimately present with recurrent disease, predominantly in the liver2,3. During hepatic surgery, intraoperative bleeding is common, often necessitating blood transfusion and different technical approaches for contro....

Protocol

All animal protocols are approved by the Institutional Animal Care and Use Committee and adhered to the National Institutes of Health (NIH) Guidelines. Instruments used for any surgical procedure were thoroughly sterilized.

1. Initial preparation

  1. Before injecting cancer cells into the mouse spleen, autoclave and sterilize all instruments to be used during the procedure.
  2. Sterilize and/or autoclave a heating pad, surgical gloves, gauze, pairs of scissors, small clamps, vess.......

Representative Results

All wildtype (C57BL6) mice (n = 20) were subjected to the liver metastases model using the protocol described above. All injected mice with or without ischemia reperfusion injury survived until the date of sacrifice. The schematic diagram Figure 1A of a cancer-injected liver illustrates the clamping of the portal triad (hepatic artery, portal vein, and bile duct) which induces a partial liver ischemic (70%) insult towards the median and left lateral lobes. An increase in the number of liver .......

Discussion

The animal model described in this manuscript is based upon two major approaches. The first is to recognize the ability of cancer cells to localize and proliferate in the liver lobes. The second is to study the effect of hepatic ischemia reperfusion injury influencing the tumor growth and metastases. This model permits the relevant study of liver metastases in the absence of secondary metastases in an immunocompetent mouse. The model is useful in addressing the questions of metastatic efficiency, such as cell survival ex.......

Acknowledgements

The authors thank Sara Minemyer and Alexander Comerci for the linguistic revision.

....

Materials

NameCompanyCatalog NumberComments
Dulbecco's Modified Eagle MediumLonza12-614F
Fetal Bovine SerumLonza900-108
L-GlutaminGibco25030-081
PenicilinFisher scientific15-140-122
StretomysinFisher scientific15-140-122
HEPESFisher ScientificSH3023701
TrypsinHyclonesh30042.02
Cell culture Flask 75cm5 Cells Star658170
15ml PP Conical TubesBioExcell41021037
Trypan Blue StainGiibco15250-061
GauzeFisherbrand1376152
CautryBovieAA01
Microvascular clampFinescience tools18055-03
Micro-Serrefine clamp applicator with lockFine science tooslFST-18056-14
Spring scissorFine science tooslFST-15021-15
Vessel DilatorFine science tooslFST-00276-13
Magnetic fixator Retraction systemFine science tooslFST-18200020
Micro-Adson ForcepsFine science tooslFST-11019-12
Micro-Adson ForcepsFine science tooslFST-11018-12
4-0 polypropylene sutureEthiconK881H
Needle holderHarvard Apparatus72-8826
Heating PadFisher scientific1443915
ClipperOster559A
Povidone-Iodine solutionMedlineMDS093945
Syringe 1ml 25GBD safety Glide305903
Insulin syringe 0.5 mlBD insulin Syringes32946
Cotton -Tipped ApplicatorFisher Scientific23-400-101
Surgical MicroscopeLeicaLR92240
Mycoplasma Elisa KitRoche11663925910
KetaminePutney#056344
XylazineNADA#139-236
ALT stripHeska15809554
AST stripHeska15809542
LDH stripHeska15809607

References

  1. Riihimäki, M., Hemminki, A., Sundquist, J., Hemminki, K. Patterns of metastasis in colon and rectal cancer. Scientific Reports. 6 (1), 29765 (2016).
  2. Oki, E., et al. Recent advances in treatment for colorectal liver metastasis.

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Murine ModelMetastatic Liver TumorsIschemia Reperfusion InjuryLiver SurgeryCancer Cell InjectionSpleenPortal VeinLiver LobesIschemia Reperfusion

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